Neurogenic intestinal obstruction is also known as spastic intestinal obstruction, functional intestinal obstruction, dynamic intestinal obstruction, Cherchersky's disease. This condition was first described by the Soviet physician Cherchersky, hence also known as Cherchersky's disease. There are also a few cases reported in China, actually, this condition is not rare.
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Neurogenic intestinal obstruction syndrome
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1. What are the causes of the onset of neurogenic intestinal obstruction syndrome
2. What complications are easy to cause by neurogenic intestinal obstruction syndrome
3. What are the typical symptoms of neurogenic intestinal obstruction syndrome
4. How to prevent neurogenic intestinal obstruction syndrome
5. What kind of laboratory tests should be done for neurogenic intestinal obstruction syndrome
6. Diet taboos for patients with neurogenic intestinal obstruction syndrome
7. Conventional methods of Western medicine for the treatment of neurogenic intestinal obstruction syndrome
1. What are the causes of the onset of neurogenic intestinal obstruction syndrome
1, Paralytic:Due to the suppression of intestinal wall muscle movement and the loss of peristalsis, the contents of the intestinal cavity cannot move downward, seen in acute diffuse peritonitis, retroperitoneal hemorrhage or infection.
2, Spasmodic:The strong and violent contraction of the intestinal wall muscles is often caused by external trauma or inflammation inside and outside the intestinal lumen, foreign bodies, and other stimulations. The abdominal pain of paralytic intestinal obstruction is mild, mainly manifested as no defecation or flatus, severe abdominal distension, which can cause an increase in breathing and heartbeat as well as oliguria. There may be no systemic symptoms in the early stage of intestinal obstruction. When accompanied by repeated vomiting, dehydration and electrolyte imbalance may occur. The bowel sounds of paralytic intestinal obstruction are extremely weak or absent.
2. What complications are easy to cause by neurogenic intestinal obstruction syndrome
1, Acute diffuse peritonitis, retroperitoneal hemorrhage or infection, incarcerated inguinal or internal hernia.
2, Intestinal volvulus: Often caused by adhesions.
3, Extraintestinal tumors or abdominal masses compressing.
4, Congenital stricture and anal atresia.
5, Inflammation: Narrowing caused by tumor anastomosis surgery and other factors, such as inflammatory bowel disease, intestinal tuberculosis, radiation-induced intestinal tumors (especially colon tumors), intestinal anastomosis, etc.
6, Intestinal intussusception: It is less common in adults and is often caused by polyps or other intestinal lesions.
3. What are the typical symptoms of neurogenic intestinal obstruction syndrome
1, Paralytic:Due to the suppression of intestinal wall muscle movement and the loss of peristalsis, the contents of the intestinal cavity cannot move downward, seen in acute diffuse peritonitis, retroperitoneal hemorrhage or infection.
2, Spasmodic:The pain of paralytic intestinal obstruction is mild, mainly manifested as no defecation or flatus, severe abdominal distension, which can cause an increase in breathing and heartbeat and oliguria. In the early stage of intestinal obstruction, there may be no systemic symptoms. When accompanied by repeated vomiting, dehydration and electrolyte disturbance may occur. The bowel sounds of paralytic intestinal obstruction are extremely weak or absent.
4. How to prevent neurogenic intestinal obstruction syndrome
There are many causes of intestinal obstruction, and preventive measures can include: children with ascaris should be actively treated for ascaris; those with hernia should repair the abdomen in time; gentle operation should be performed during surgery. It has been reported that placing carboxymethyl cellulose in the abdominal cavity and taking vitamin E orally after surgery can reduce the occurrence of intestinal adhesion.
5. What laboratory tests are needed for neurogenic intestinal obstruction syndrome
Abdominal X-ray透视 or film examination, if there is gas and liquid level in the small intestine, it indicates that the contents of the soup have passed through the obstruction, suggesting the possibility of intestinal obstruction. However, in the early stage of this disease, there may be no obvious X-ray signs of intestinal obstruction, so special vigilance should be exercised.
6. Dietary taboos for patients with neurogenic intestinal obstruction syndrome
Patients with neurogenic intestinal obstruction syndrome should eat light and nutritious, fluid foods such as congee, lotus root powder, egg flower soup, vegetable soup, noodles, etc.; do not eat indigestible, irritating foods, long fiber foods, greasy, bloating, fishy foods such as beef, mutton, chili, scallion, beef bone soup, chicken soup, milk, soybeans, broad beans, potatoes, sweet potatoes, spinach, celery, Chinese cabbage, chives, coriander, bamboo shoots, etc.
7. Conventional Methods for Treating Neurogenic Intestinal Obstruction Syndrome in Western Medicine
The key to treatment is to correct the imbalance of water, electrolytes, and acid-base balance caused by intestinal obstruction, to reduce abdominal distension, improve the blood circulation of the upper intestinal segment, and at the same time control infection. Traditional Chinese medicine, Chinese herbal medicine, and acupuncture treatment have certain efficacy.
Traditional Chinese Medicine Treatment:Winter bamboo shoots and glutinous rice each 50 grams. Wash the winter bamboo shoots, slice them, and cook them with glutinous rice into a thin porridge. Take twice a day, on an empty stomach.
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